Edit Patient Info Code Gender Gender Male Female First Interviewer Alaaabdelhady asmaaragab Kareemhafzy Kerolos_Botros Mahmoudsa3d Mervat069 monaelgebaly nabilelkot Olabrakat Rehab.mohammed shaymaamady sohaylasamy Aelsherbiny Doaa Abeer Mahmoud Ibrahim Younis Aya Elsayed Mohammed Elsherbiny Mostafa Mahdi Tommie Van Otterloo Shaimaa Mostafa Omkolthom Hamdy Bassem Zaki Kholod Ali Mariam Shehata Seconed Interviewer Alaaabdelhady asmaaragab Kareemhafzy Kerolos_Botros Mahmoudsa3d Mervat069 monaelgebaly nabilelkot Olabrakat Rehab.mohammed shaymaamady sohaylasamy Aelsherbiny Doaa Abeer Mahmoud Ibrahim Younis Aya Elsayed Mohammed Elsherbiny Mostafa Mahdi Tommie Van Otterloo Shaimaa Mostafa Omkolthom Hamdy Date Of First Interview Attachment Summary she is known BPD presented 1 year ago with sad mood , problem in relationships , anger outburst in work and with family , cannabinoids use she was advised to start medication which she refused and was advised to start dbt she wasn't compliant on therapy due to her work in advertising which has no regular appointments and very stressful, she then started relationship with the ex of her best friend and done full sexual relationship with him she had guilt feeling and was advised to talk with her friend but she didn't, she tried to make him follow up in therapy but he was insightless for his hash addiction and she stopped following up after he refused to come , she then discovered that he was manipulating both her end her best friend she had breakdown and did self harm during work , during this period she started prozac but wasn't improved then she started effexor 150 mg , she stopped medication and therapy for 2 months ago she came with sadmood , reactive affect , she is determined to continue therapy she was asked to start dbt group again but she wasn't convinced Diagnosis/Notes Social single , living with her family , works in advertising, her brother is diagnosed as Bipolar and BPD personality and her father known Bipolar الاخ ولد وحيد فى التركيز كان عليه من قبل الاهل الاب اتشخص مؤخرا بس طول الوقت كان عصبي و بيعمل مشاكل فى البيت و بعد ما اتشخص و اتحجز بتوصف اعراض اكتئاب شديد حاليا ، الام query borderline بس مش بتتشخص و لا ببتابع هي الاخت الوسطي و الاخت الكبيرة متزوجة Allergy Family History Family History No Yes Follow Up add elbaluran decrease effexor to be stopped for dbt group ٢٠/٨/٢٠٢٥ نبيل فاطمة سيدة عمرها ٢٥ سنة الوسطى لاخت واخ ، والاب كان يعمل ضابط في مصر للطيران والام ست بيت، وهي خريجة فنون جميلة وتعمل مهندسة ديكور ومن خلفية اسرية شديدة الاضطراب لاب بايبولار واخ مدمن واخت تزوجت وخلعت وهي غالبا بوردرلاين ، وقد بدات العلاج منذ سنة مع خلود الذي كانت تعالج أخاها، وقد بدات الحالة في عمر ١٨ سنة بعصبية شديدة ونوبات غضب شديدة وتعور نفسها، وفي عمر ٢٢ سنة كانت في علاقة أساسية غير جادة وعلاقات غير أساسية متعددة، ومنذ سنة دخلت في علاقة مع الزميل حبيب صاحبتها ثم تصارحت مع صاحبتها ومشوه من الشغل لكنها مازالت تحبه ونفسها فيه، وجو البيت كئيب جدا الاب مكتئب والام مكتئبة والاخ متقلب، وعلاقتها بالاخت سيئة جدا، Depressive symptoms Depressive symptoms Depressed mood Anhedonia Decrease concentration Easy fatigability Death wishes Suicidal ideations/plans/attempts Hopelessness / helplessness Sense of suffocation Significant weight loss Insomnia Psychomotor retardation Psychomotor agitation Excessive guilt Manic symptoms Manic symptoms Irritable/elated mood Volubility Flight of ideas Decrease need for sleep Easy distractibility Inflated self-esteem Increase goal directed activities Hyperactivity Involvement in risk activities Delusions Delusions General delusions Bizzare Delusion Acting out No acting out Others Hallucinations Hallucinations Auditory Non auditory Acting out No acting out Perception illusion Others Sleep Sleep Insomnia Interrupted sleep sleepiness Cataplexy Night mares Obstructive apnea/ hypopnea Sleep walking Appetite Appetite Decrease appetite Increase appetite Eating non-food substance Repeated regurgitation of food Restriction of eating Recurrent binge eating Recurrent compensatory behavior Sexual symptoms Sexual symptoms Decrease desire Increase desire Erectile dysfunction Premature ejaculation Anorgasmia Dyspareunia Paraphilia Gender incongruence Agitation Agitation Yes No Aggression Aggression Verbal Physical sexual Destruction Homicide Obsessions/ compulsions Obsessions/ compulsions Obsessions Compulsions Hoarding Body dysmorphia Skin picking Hair bulling Suicide Suicide Death wishes Ideations Plans Attempts current Prior attempts Anxiety symptoms Anxiety symptoms Mental symptoms Physical symptoms Ill-defined fear Specific phobias Panic attacks PTSD Symptoms PTSD Symptoms Intrusive memories (thoughts- feelings- images- nighmares) Hyperarousal Avoiding dissociation Negative thinking Mood changes Somatic symptoms Somatic symptoms Hypochondriasis Conversion Induction of disease or physical symptoms Falsification of physical/psychological symptoms Dissociative symptoms Dissociative symptoms Depersonalization/ derealization Others Neurocognitive symptoms Neurocognitive symptoms Learning / Memory Attention Language Social cognition Self care House keeping Daily activities Ambutaion????? Speech Speech Delay Stuttering Vocal tics Others Intellectual functions Intellectual functions Daily activity Social functions Cognitive ?????? Others Restricted/repetitive behavior Angry/irritable mood Restricted/repetitive behavior Angry/irritable mood loses temper touchy resentful Others Argumentative/defiant behavior: Vindictiveness (Aggression) Argumentative/defiant behavior: Vindictiveness (Aggression) aggressive impulses verbal bullying threatening physical animal People Propities Sixual Stealing Setting fire Others Enuresis Enuresis Primary Secondary Others Encorporesis Encorporesis Primary Secondary Others Attention Attention Attention deficit Forgetfulness Easily distracted Others Activity Activity Hyperactivity Hypoactivity Others Motor Motor Ticks Delayed motor development Soft motor skills Sleep development Gender identity Others Personality-ClusterA Personality-ClusterA Pervasive distrust Detachment from social relationships Odd beliefs / thinking Personality-ClusterB Personality-ClusterB violations of rights Impulsivity Unstable relationships Unstable sense of self DSH Dramatization Ego inflation Personality-ClusterC Personality-ClusterC Social inhibition Difficulty in everyday decisions without help Details oriented Perfectionism Rigidity Anxiety & Cluster C Substance abuse/dependence Substance abuse/dependence Harmfull use Craving Withdrwal symptoms Unable to control use Others Impairement of functioning Impairement of functioning Understanding and communication Getting around Self care Getting along with people Life activities (House hold) Life activities (school /work) Participation in society Others Severity Severity 1 2 3 4 5 6 7 8 9 10 Save Your Changes Back to List
